Intraoperative computed tomography versus Perdriolle and scoliometer evaluation of spine rotation in adolescent idiopathic scoliosis.
Intraoperative computed tomography versus Perdriolle and scoliometer evaluation of spine rotation in adolescent idiopathic scoliosis.
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DOI：
10.1155/2015/460340
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发表时间：
2015
影响因子：
--
通讯作者：
Mazurek T
中科院分区：
文献类型：
--
作者：
Pankowski R;Wałejko S;Rocławski M;Ceynowa M;Mazurek T
有许多间接测量椎体顶点旋转（AVR）的方法被报道过，但没有一种方法能像计算机断层扫描评估那样准确。本研究的目的是比较术中计算机断层扫描（ICT）评估创新技术与间接方法（如Perdriolle和临床评估脊柱侧弯计）时脊柱旋转的变化。我们研究了42例接受后路脊柱侧凸手术治疗的青少年特发性脊柱侧凸（AIS）患者。手术时的平均年龄为16岁。俯卧位脊柱侧凸矫正前后行ICT评估。术前、术后分别用脊柱侧弯仪和x线摄影Perdriolle测量临床肋峰。脊柱侧弯仪矫正肋骨驼峰的平均成功率为71.5%，而ICT矫正的平均成功率仅为31% (P= 0.026)，两者之间无显著相关性（R= 0.297， P= 0.26）。矫正后平均Perdriolle AVR下降16.5°。ICT平均AVR仅下降1.2°（P= 0.003）。ICT与Perdriolle AVR评价无显著统计学相关性（R=0,297, p=0,2）。脊柱侧弯仪和Perdriolle方法与ICT评估在AVR和肋峰评估方面存在显著差异，ICT评估似乎是脊柱旋转测量最准确的工具。
Numerous indirect methods for apical vertebral rotation (AVR) measurement have been reported and none of them seems to be as accurate as computed tomography evaluation. The aim of this study was to compare spinal rotation changes during innovative technique of intraoperative computed tomography (ICT) evaluation with indirect methods such as Perdriolle and clinical evaluation with scoliometer. We examined 42 adolescent idiopathic scoliosis (AIS) patients treated with posterior scoliosis surgery (PSS). The mean age at the time of surgery was 16 years. ICT evaluation was performed before and after scoliosis correction in prone position. Clinical rib hump measure with scoliometer and radiographic Perdriolle were performed before and after surgery. There was 71,5% of average rib hump correction with scoliometer but only 31% of correction with ICT (P=0,026) and there was no significant correlation between them (R=0,297, p=0,26). Mean postcorrectional Perdriolle AVR had a decrease of 16,5°. The average ICT AVR had a decrease of only 1,2° (P=0,003). There was no significant statistic correlation between ICT and Perdriolle AVR evaluation (R=0,297, p=0,2). There is a significant discrepancy in AVR and rib hump assessment between scoliometer and Perdriolle methods and ICT evaluation, which seems to be the most accurate tool for spinal derotation measurement.
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影响因子：
3
作者：
SKALLI, W;LAVASTE, F;DESCRIMES, JL
通讯作者：
DESCRIMES, JL
影响因子：
3
作者：
AARO, S;DAHLBORN, M
通讯作者：
DAHLBORN, M
DOI：
10.1186/1748-7161-5-4
发表时间：
2010-02-23
期刊：
Scoliosis
影响因子：
--
作者：
Abul-Kasim K;Karlsson MK;Hasserius R;Ohlin A
通讯作者：
Ohlin A
影响因子：
3
作者：
PERDRIOLLE, R;VIDAL, J
通讯作者：
VIDAL, J
影响因子：
3
作者：
LABELLE, H;DANSEREAU, J;DEGUISE, J
通讯作者：
DEGUISE, J